Individual
KELLY LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8576 NE DUDDLESON, PORTLAND, OR 97220
(503) 280-2877
(503) 331-3095
Mailing address
8576 NE DUDDLESON ST, PORTLAND, OR 97220-5262
(503) 251-1614
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3829
OR
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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